Fat Grafting in Burn Scar Alleviates Neuropathic Pain via Anti-Inflammation Effect in Scar and Spinal Cord

作者: Shu-Hung Huang , Sheng-Hua Wu , Su-Shin Lee , Kao-Ping Chang , Chee-Yin Chai

DOI: 10.1371/JOURNAL.PONE.0137563

关键词: Skin graftingScarsBurn injuryAnesthesiaNeuralgiaNeuroinflammationSpinal cordPathologyNeuropathic painMedicineTransplantation

摘要: Burn-induced neuropathic pain is complex, and fat grafting has reportedly improved pain. However, the mechanism of in improving unclear. Previous investigations have found that neuroinflammation causes pain, anti-inflammatory targeting may provide potential therapeutic opportunities We hypothesized burn scars improves through anti-inflammation. scar was confirmed using a mechanical response test 4 weeks after injuries, autologous area performed simultaneously. After weeks, animals were sacrificed, specimens collected for inflammation test, including COX-2, iNOS, nNOS injured skin spinal cord dorsal horns immunohistochemistry Western assays. Furthermore, pro-inflammatory cytokines (IL-1 β TNF-α) collected. Double immunofluorescent staining images measuring p-IκB, p-NFκB, p-JNK, TUNEL as well blots AKT, Bax/Bcl-2 inflammatory process, apoptosis analyzed. Fat significantly reduced COX2, nNOS, iNOS horns, IL-1β TNF-α, compared with group. Moreover, regarding effect, cells decreased injury effective treating burn-induced alleviation ameliorated neuronal apoptosis.

参考文章(45)
Tarek A. Samad, Kimberly A. Moore, Adam Sapirstein, Sara Billet, Andrew Allchorne, Stephen Poole, Joseph V. Bonventre, Clifford J. Woolf, Interleukin-1β-mediated induction of Cox-2 in the CNS contributes to inflammatory pain hypersensitivity Nature. ,vol. 410, pp. 471- 475 ,(2001) , 10.1038/35068566
Stephan Barrientos, Olivera Stojadinovic, Michael S. Golinko, Harold Brem, Marjana Tomic-Canic, Growth factors and cytokines in wound healing. Wound Repair and Regeneration. ,vol. 16, pp. 585- 601 ,(2008) , 10.1111/J.1524-475X.2008.00410.X
Gerburg Keilhoff, Helmut Schröder, Brigitte Peters, Axel Becker, Time-course of neuropathic pain in mice deficient in neuronal or inducible nitric oxide synthase Neuroscience Research. ,vol. 77, pp. 215- 221 ,(2013) , 10.1016/J.NEURES.2013.08.008
Wioletta Makuch, Joanna Mika, Ewelina Rojewska, Magdalena Zychowska, Barbara Przewlocka, Effects of selective and non-selective inhibitors of nitric oxide synthase on morphine- and endomorphin-1-induced analgesia in acute and neuropathic pain in rats Neuropharmacology. ,vol. 75, pp. 445- 457 ,(2013) , 10.1016/J.NEUROPHARM.2013.08.031
Richard F. Oppeltz, Meenakshi Rani, Qiong Zhang, Martin G. Schwacha, Gamma delta (γδ) T-cells are critical in the up-regulation of inducible nitric oxide synthase at the burn wound site Cytokine. ,vol. 60, pp. 528- 534 ,(2012) , 10.1016/J.CYTO.2012.07.003
Dik-Lung Ma, Li-Juan Liu, Ka-Ho Leung, Yen-Ting Chen, Hai-Jing Zhong, Daniel Shiu-Hin Chan, Hui-Min David Wang, Chung-Hang Leung, Antagonizing STAT3 Dimerization with a Rhodium(III) Complex Angewandte Chemie International Edition. ,vol. 53, pp. 9178- 9182 ,(2014) , 10.1002/ANIE.201404686
Yong-Jing Gao, Ru-Rong Ji, Chemokines, neuronal-glial interactions, and central processing of neuropathic pain. Pharmacology & Therapeutics. ,vol. 126, pp. 56- 68 ,(2010) , 10.1016/J.PHARMTHERA.2010.01.002
Tufan Mert, Akif H. Kurt, Mahmut Arslan, Ahmet Çelik, Berin Tugtag, Aysenur Akkurt, Anti-inflammatory and Anti-nociceptive Actions of Systemically or Locally Treated Adipose-Derived Mesenchymal Stem Cells in Experimental Inflammatory Model Inflammation. ,vol. 38, pp. 1302- 1310 ,(2015) , 10.1007/S10753-014-0101-1
A. MICLESCU, T. GORDH, Nitric oxide and pain: ‘Something old, something new’ Acta Anaesthesiologica Scandinavica. ,vol. 53, pp. 1107- 1120 ,(2009) , 10.1111/J.1399-6576.2009.02054.X
Annie Malenfant, Robert Forget, Rhonda Amsel, Jacques Papillon, Jean-Yves Frigon, Manon Choinière, Tactile, thermal and pain sensibility in burned patients with and without chronic pain and paresthesia problems. Pain. ,vol. 77, pp. 241- 251 ,(1998) , 10.1016/S0304-3959(98)00096-7